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ENCINO OUTPATIENT SURGERY CENTER LLC NPI 1629132360


NPI Information

NPI: 1629132360
Provider Name: ENCINO OUTPATIENT SURGERY CENTER, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D0725553

Address:
16311 VENTURA BOULEVARD
SUITE 580
ENCINO, CA
ZIP 91436
Phone: (818) 986-1037
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ENCINO OUTPATIENT SURGERY CENTER, LLC is a clinic center in Encino, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ENCINO OUTPATIENT SURGERY CENTER, LLC NPI is 1629132360. The provider is registered as an organization entity type.

The provider's business location address is:

16311 VENTURA BOULEVARD
SUITE 580
ENCINO, CA
ZIP 91436-314
Phone: (818) 986-1037
Fax: (818) 986-1800

The provider's authorized official is Suhel Siddiqui .
The authorized official title is Ceo and has the following contact phone number (818) 986-1037.

The CLIA number assigned to this NPI record is 05D0725553 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 12/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.